| Regimental number | 635 |
| Place of birth | Ulverstone, Tasmania |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | Gormanston, Tasmania |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs B E Clark, Gormanston, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 11 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |